Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (4): 62-67.doi: 10.6040/j.issn.1673-3770.0.2023.093

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Analysis of Cochlear function in young and middle-aged tinnitus patients with normal pure tone audiometry threshold

XIONG Binbin1, LU Ziang2, YANG Jing1, XU Wenqiang1, ZHOU Luru1, SUN Pinyuan1, YUAN Ding1, ZHU Jiahao1   

  1. 1. Center for hearing and balance, Zhuhai Hospital of Integrated of Traditional Chinese Medicine and Western Medicine, Zhuhai 519000, Guangdong, China2. Department of Otorhinolaryngology, Shenzhen Longhua District Central Hospital, Shenzhen 518110, Guangdong, China
  • Published:2023-07-27

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Abstract: Objective Otoacoustic emission(OAE)data were analyzed to explore cochlear function in young and middle-age adults with tinnitus and normal pure-tone thresholds. Methods Data from 30 non-tinnitus patients with normal pure-tone average(PTA)threshold and 64 young and middle-age patients with tinnitus were collected from a tinnitus clinic from September 2021 to June 2022. All patients underwent objective testing by audiologists including distortion product otoacoustic emission(DPOAE), transient evoked otoacoustic emission(TEOAE), and spontaneous otoacoustic emission(SOAE). Results were compared, and the frequency of SOAE and the frequency of precision tinnitus matching were analyzed and compared. Results There were no statistically significant differences in sex, age, or average PTA threshold between the tinnitus patients and normal young individuals(P1=0.079,P2=0.078,P3=0.0810, respectively). DPOAE testing revealed no statistically significant differences in pass rates for all frequencies between the tinnitus and the control groups(P>0.05)except at 6000 Hz(P<0.05). In contrast, TEOAE testing revealed a statistically significant difference in pass rate for all frequencies between the two groups(P<0.05). Elicited SOAE rates in the control and tinnitus groups were 31.67% and 43.62%, respectively, ranging from 1 211 Hz to 4 453 Hz and 859 Hz to 4 570 Hz, respectively, with no statistical difference between the groups(χ2=2.199, P=0.138). Finally, there was no significant correlation between the frequency of SOAE and the frequency of precision tinnitus matching(r=0.1143, P=0.540). Conclusion DPOAE and TEOAE pass rates in young and middle-age patients with tinnitus and normal PTA threshold were significantly different from individuals without tinnitus. The differences occurred at some frequency points, which suggests early stages of mild cochlear damage but not yet affecting the threshold. As a “hidden” injury among patients with tinnitus, this warrants attention.

Key words: Tinnitus, Transient otoacoustic emissions, Distortion otoacoustic emissions, Spontaneous otoacoustic emissions, Precision tinnitus assessment

CLC Number: 

  • R764.45
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